Individual
ALEXANDRA KRASIEVA DVORNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2601 E CHAPMAN AVE STE 111, FULLERTON, CA 92831-3737
(949) 293-6249
Mailing address
22 NEWTON CT, IRVINE, CA 92617-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
112537
CA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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